<div class="modal-content" style="width: 800px;">
    <div class="modal-header">
       <button type="button" class="close" ng-click="onClose();">&times;</button>
       <h4 class="modal-title" id="myModalLabel">医疗机构</h4>
    </div>
    <div class="modal-body">
    
     <div class="background-white"  padding="true">
       <div class="full-width full-height">
           <div class="row" style="margin-top: 5px;">
              <div class="form-group col-xs-5" >
                  <label class="col-xs-4 control-label text-right">
               		<span class="red"> * </span>机构名称:
                  </label>
                  <div class="col-xs-8">
                  	<select ui-select2="{allowClear:true}" class="full-width"
							ng-model="form.medicalOrgInfo">
							<option value=""></option>
							<option ng-repeat="data in medicalOrgInfoList"
								value="{{data}}">{{data.medicalOrgName}}</option>
						</select>		
                  </div>               
              </div>
              <div class="form-group col-xs-6" >
                  <label class="col-xs-4 control-label text-right">
                	机构编号:
                  </label>
                  <div class="col-xs-8">
                    <input class="form-control"  type="text" ng-model="form.medicalOrgCode" 
                    readonly="readonly" title="{{form.medicalOrgCode}}">
                  </div>
              </div>
           </div>
           <div class="row" style="margin-top: 5px;">
              <div class="form-group col-xs-5" >
                  <label class="col-xs-4 control-label text-right">
                 	机构等级:
                  </label>
                  <div class="col-xs-8">
                     <input type="text" class="form-control" ng-model="form.medicalOrgLevel" 
                     readonly="readonly" title="{{form.medicalOrgLevel}}">
                  </div>               
              </div>
              <div class="form-group col-xs-6" >
                  <label class="col-xs-4 control-label text-right">
                	 地址:
                  </label>
                  <div class="col-xs-8">
                         <input class="form-control" required  ng-model="form.fullAddress" 
                         readonly="readonly"  ng-maxlength="32" type="text" title="{{form.fullAddress}}">
                  </div>
              </div>
           </div>
           <div class="row" style="margin-top: 5px;">
                  <div class="form-group col-xs-5" >
                  <label class="col-xs-4 control-label text-right">
                 	<span class="red"> * </span>医院科室:
                  </label>
                  <div class="col-xs-8">
                    <select ui-select2="{allowClear:true}" class="full-width"
						   ng-model="form1.cityDepInfo">
						<option value="">---请选择---</option>
						<option ng-repeat="cityDep in cityDepList"
									value="{{cityDep}}">{{cityDep.cityDepName}}</option>
					    </select>
                  </div>
              </div>
              <div class="form-group col-xs-6" >
                  <label class="col-xs-4 control-label text-right">
                	 医院科室编码:
                  </label>
                  <div class="col-xs-8">
                     <input type="text" class="form-control" ng-blur="autoSearchInstitution($event)" required ng-model="form1.cityDepCode" 
                     readonly="readonly" ng-maxlength="20" title="{{form1.cityDepCode}}">
                  </div>
              </div>
           </div>
           <div class="row" style="margin-top: 5px;">
           <div class="form-group col-xs-5" >
                  <label class="col-xs-4 control-label text-right">
                 	省科室:
                  </label>
                  <div class="col-xs-8">
                       <input class="form-control" ng-model="form1.provincialName" 
                       readonly="readonly" maxlength="11" type="text" title="{{form1.provincialName}}">
                  </div>
              </div>
              <div class="form-group col-xs-6" >
                  <label class="col-xs-4 control-label text-right">
                 	省科室编码:
                  </label>
                  <div class="col-xs-8">
                     <input type="text" class="form-control" ng-blur="autoSearchInstitution($event)" required ng-model="form1.provincialCode" 
                     readonly="readonly" ng-maxlength="20" title="{{form1.provincialCode}}">
                  </div>
              </div>
           </div>
       </div>
    </div>
              </div>
    <div class="modal-footer">
       <div class="col-xs-12 text-center">
           <button type="button" class="btn btn-blue btn-sm" ng-click="add();">
              确定
           </button>
           <button type="button" class="btn btn-blue btn-sm" ng-click="onClose();">
              取消
           </button>
       </div>
    </div>
</div>
